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North Carolina Department of Health and Human Services AGED, BLIND AND DISABLED MEDICAID MANUAL

MA-1100 AGED, BLIND AND DISABLED

SSI MEDICAID – COUNTY DSS RESPONSIBILITY

19 REISSUED 11/01/09 - CHANGE NO. 16-09 (VIII.B.3.) c. The system will set the SSI status to “N”.

d. Approve open/shut for the current month only.

e. Retain the DMA-5050, Emergency Certification for Medicaid, indefinitely.

IX. COUNTY DSS RESPONSIBILITY FOR AN SSI CHILD IN HSF

A. SSI Child Receiving in HSF

1. A child who receives SSI can be in HSF. This allows the county dss to continue to update certain data elements in EIS. This is necessary because children in dss custody may have an address and county number on the SDX other than the Medicaid county of residence. Also, this allows the State to identify children in dss custody for federal reporting purposes.

2. The county dss updates all fields in EIS except the following:

a. Certification Period b. RSDI Claim Number c. First Name, Middle Initial, Last Name d. SSN e. Date of Birth f. Sex

NOTE: When there is a conflict between SSA records and dss records for one of the above elements and it causes a problem, use the DMA-5049, Referral to Local Social Security Office to report the conflict. For example, an error in the date of birth or name may cause claims to deny.

3. When the SSI status is "Y" in an HSF case, Medicaid cannot be terminated by the county dss.

4. The county dss continues to have placement responsibility for the SSI child.

B. SSI Child in HSF is No Longer in County Custody

1. When an SSI child who is in HSF is no longer in county custody, he must be taken out of HSF.

2. As long as he receives SSI his Medicaid cannot be terminated.

3. Enter a DSS-8125 to transfer the HSF case to MAABD. Refer to EIS 4200 for instructions.